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Permit
CITY OF TIGARD PLUMBING PERMIT , COMMUNITY DEVELOPMENT Permit#: PLM2015-00348 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2015 Parcel: 2S101DC04603 Jurisdiction: Tigard Site address: 7405 SW TECH CENTER DR 160 Project: Cascadia Labs Subdivision: TECH CENTER BUSINESS PARK Lot: 2 Project Description: Adding(1)2"floor drain,(1)lay,(2)clinic sinks,(1)mop sink(2)shower stalls and(1)toilet. Contractor: EVOLUTION PLUMBING LLC Owner: WPC TIGARD LLC 7715 NE 33RD DR SUITE D 307 LEWERS ST 6TH FL PORTLAND, OR 97211 HONOLULU, HI 96815 PHONE: 503-655-3388 PHONE: FAX: 503-305-8373 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 10/14/2015 $25.02 Specifics: 3 ea Sink 10/14/2015 $75.06 1 ea Lavatories 10/14/2015 $25.02 Type of Use: COM 2 ea Tub/Shower/Shower Pan 10/14/2015 $25.02 Class of Work: ALT 1 ea Water Closet 10/14/2015 $25.02 Type of Const: 1 12%State Surcharge- 10/14/2015 $21.02 Occupancy Grp: Plumbing Stories: Total $196.16 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, S . e of a• SpecialtfCodes and all other applicable law. All work will be done in accordance with approved plans. This permit will pire if we is not s ed within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law require: you to f• o the rulef adopted by the Oregon Utility Notifi . ••• enter. Those rules are set forth in OAR 952-001-0010 through OAR 9s2-001-009P,. rou may *stain a copy of the rules or dire suestions to • C by calling 503.232.1987 or 1.800.332.2344. / Is ed By: . I / Permittee Signature: dItAr Call 503.639.4175 by 7:00 a.m.for the next available ins-ection •.te. This permit card shall be kept in a conspicuous place on the job site ntil co •letion of the project. Approved plans are required on the job site at the Um? of each' spection. Plumbing Permit ApplicQEIVEI /6,Pae/5-aGa4/ Building Fixtures City of Tigard OCT 1 4 2015 ReceiveDate/By: �d /4/� 1 s Permit No a/x/5=cO 34/tZ •111111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �weaol��ol� C Phone: 503.718.2439 Fax: ll r 1 A 1(ARD Date/By: Other Permit No. 9 3 J Inspection Line: 503.639.4175 I I [� Date Ready/By: Juris: ® See Page 2 for TIGnRD I ilfI�rr i Supplemental S Internet: www.tigard-or.gov 1 I�dtry ?i1T1(�l� Notified/Method: Information TYPE OF WORK FEE* SCHEDULE ❑New construction El Demolition For special information use checklist Description I Qty. I Ea. I Total "Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 El 1-and 2-family dwelling ... 2Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: ---1,417e, ""1"L+� cR - Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 ` City/State/ZIP: 19A.Vt t O 2 `1/��Z73 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: /coo j Project name: CSciactIGl LAti5 Manufactured home utilities 1 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision: I Lot no.: Fixture or item: Tax map/parcel no.: 2 .. I o!D co 1.f 400 3 Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 i Clothes washer 25.02 gelAtik 1 A .f,� ne.i� bat-kArot)✓Y ) -Iwo clvki c_ Dishwasher 25.02 S i A VS) t (\flop Sri:wk..) cciAA an €M1 e rg c v1 C 9 Drinking fountain 25.02 h p Ul7 .,t; S.-t O„• • Ejectors/sump 25.02 ❑ PROPERTY OWNER J ❑ TENANT Expansion tank 12.51 Name: Fixture/sewer cap 25.02 Address: Floor drain/floor sink/hub t 25.02 2. -02- Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Medical gas(value:$ ) Page 2 Business name: �go\uki uvRluhn(o►Y- 1 Lt_e_.., Primer 12.51 Contact name: ai opCPCkcei Roof drain(commercial) 12.51 Address: 11 t - Me 3'3f°i t i•k- - Sink/basin/lavatory 25.02 100.Ot, City/State/ZIP: �,-tip■1 Di• q"Ixtt Solar units(potable water) 62.54 Phone:Mtn) (per S - 3-g$t1 Fax::(cb3)305 -X3'13 Tub/shower/shower pan � 12.51 2..6.02_ Urinal 25.02 E-mail: S1/1.ctivuiL_ St °p eve 0∎3... Yltoi • Y1/4-12.'f- CONTRACTOR Water closet I 25.02 7 S•, 0-2.- Water heater 37.52 Business name: UV O1,IA'k.-i©VL--PtUl.YhtDi✓\9 L-lrG Water piping/DWV 56.29 Address: 11 IS N 33"'1 "pr, Sw 1c. 1. Other: 25.02 City/State/ZIP: Roy-t c`vw\ l 04 ory2_ti Subtotal 176.14 Phone:( U ) Fax: ) c Minimum permit fee: $72.50 t1$,14 S 3 tQ ss - 33 ib� (S03 30 j -83-13 Plan review (25%of permit fee) CCB Lic.: iejt1'-1,j Plumbing Lic.no.: i�t3s34 State surcharge(12%of permit fee) Xi.02 Authorized signature: - 'Ti) ° _ TOTAL PERMIT FEE let� ((p • Print name: i u Date: This permit application expires if a permit is not obtained within 180 days �vA d/ I Is after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Penults\PLMU-PermitApp.doc 10/01/09 440-4616T(10'02!COM WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression S stems: Site Utilities Qty. Fee(ea) Total Square Footage: Per Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 ! $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for ,,Qtlissibispections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity b Fixture T Plan review is required for any of the following. Fixture Type for eptace/ Please check all that apply. Work Performed: Capped Added elocate ❑ Any new commercial building with water service 2"and Iluptistgil ont greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool - r engineer. Car Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 1 3" Isometric or Riser Diagram ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall �+ Sink: -LavBar non-food related 3 -Bradley -Com/Serv/Util food related -Service J *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor WaterCloset-Toilet ( plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7405 SW TECH CENTER DR 160, TIGARD, OR, 97223 Commercial - Plumbing 399 Plumbing final PASS - No C of O PLM2015-00348 Don Sylvester Violation Summary: Inspector Contractor